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Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and fin......more

Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and financial concerns.

Hello lybrate-user, the blood pressure of 160 / 90 is in the hypertensive range and by all means it should be preferably be brought under the range of 120 -140 and 80 -85. Considering he is young and the pressure range is not very high, it can be do so by holistic ways and not starting medication. 1)He has to cut salt in his diet. Not more than 3 -4 gms per day. Earing healthy with more of fruits and vegetables in diet would be helpful 2) At least 30 mins of aerobic exercise everyday 3) Quit smoking, of he drinks - to drink in moderation and if overweight try to loose weight to achive ideal BMI under 23. At the same time some tests to rule out secondary cause of hypertension should be considered and effects of hypertension on eyes, kidney and heart should be evaluated. Keep a strict tab on above if still the pressure reading are high consider started medication atleast for time being, than as things improve can taper it off showily. Regards

Hello lybrate-user, A old calcified upper lobe lesion in Indian context suggests an old healed lesion of tuberculosis. You may not have an history because your natural immunity may have taken care of the same while you were young. As most countries have been successful in eliminating TB in there countries from being a public hazard, They avoid anyone with such a possibility. No treatment required for the same medically. You may consult your doctor for way out of it and possibilities.

Hello,
for mechanical mitral valve replacement the recommended inr is 3. Adding low dose aspirin 75 mg or so to warfarin is another way forward, however there is a slight chance of increased bleeding, though all studies have found benefit more than the risk, particularly for your wife as she is young. Regards

Hello lybrate-user, the upper range of blood pressure is 140 / 90, anything above requires care either by cutting salt in diet, aerobic exercise and if required medicines. As such there is nothing as low blood pressure, it a misnomer with general population to attribute the symptoms of feeling low to low blood pressure. However one should maintain blood above 110 / 70 at your age and hence that can be considered as lower limit.

Hello, the very essence of a successful enterprise, is the person being strong and level headed. There are millions of examples where multiple 1st attempts did not fare well and they ultimately founded one of the biggest company in the world, like ali baba, uber, whatsapp and millions other, however common thing amongst them was one took the easy way out to alcohol. They studied the reason for failure, improved upon the mistake s ultimately to strike gold. All your symptoms are because of alcohol and lack off sleep, a visit to a psychologist is strongly suggested so he can help you before you damage your health and future prospects both. Hoping I could help.

Hello, lv remain present, means that one portion of the heart wall is not contracting adequately, which is suggestive of a possible block in one of your arteries which may have resulted in silent heart attack, though as the pumping of the heart is near normal it would have been an minor event. Based on the reports (however I would like to review ecg and complete echo report) furthur investigation for evaluation of your heart is strongly recommended.

Hello sir, based on the short description it would be difficult for me to help you determine whether the cause of the pain is cardiac or not. Considering the history of bypass surgery, it's best to rule cardiac cause of pain. It's always better to find the cause and than treat the same. No particular precaution to be taken, except continuation of medicine prescribed and an active lifestyle with healthy diet.
For finding the cause:
if you are physically active, a treadmill stress test would be the best choice. If not a stress echocardiography should be a reasonable alternative. The above test should be particularly done if the chest pain occurs when you exert (being tense is a mental exertion) climb stairs and if there is associated breathlessness. Let me know if any clarification needed and I would be happy to help. Regards

Hello lybrate-user, the x ray report you have mentioned is grossly withen nomral limits and just based on the report attached, I don't forsee anything serious. Now the two most common cause of breathlessness at night is lung related, particularly asthama like or copd if he was a smoker, another is heart related, which should be ruled out if he has similar breathlessness when he is exerting like climbing stairs, lastly get his blood pressure checked ad it might be on the higher side. Do send me more details so I can help narrow down the diagnosis for you. Hoping I could help.
Regards

Hello lybrate-user, I would strongly advice you against taking any fat burner. Every fat burner works by increasing catabolism which would push the blood pressure to serious high levels putting you at the risk of stroke, heart issues and other serious problems. You are young and should take a more holistic approach towards losing weight which would be safe and permanent. If medication is something you are looking forward too, cetilistat, one which decreases absorption of fat from your meals would be far safer choice for you. It's taken 60 mg twice a day. You may get it fron any big pharmacy in delhi or otherwise get it from mumbai. Again no fat burners. Regards

Hello, what treatment can be offered depends on many parameters and the exact nature of the hole as you describe it and let me assure you it most of the cases one can do something whether surgery or medicine to give a near normal life to your child. If you can send me the echocardiography report, I can guide you better.